腹腔镜修补术和开腹修补术治疗胃穿孔的效果对比分析
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摘要
目的探讨腹腔镜修补术治疗胃穿孔的临床效果。方法 82例胃溃疡并发胃穿孔的患者根据手术方式的不同分为对照组(n=41,开腹修补术)与观察组(n=41,腹腔镜修补术),比较两组的手术相关指标及并发症。结果观察组的术中出血量显著少于对照组,术后肠鸣音恢复时间、首次排气时间、住院时间均显著短于对照组(P <0.05)。观察组的术后并发症发生率显著低于对照组(P <0.05)。结论腹腔镜胃穿孔修补术创伤小,术后并发症少,能快速恢复患者的胃肠功能,缩短住院时间。
Objective To explore the clinical effect of laparoscopic repair in the treatment of gastric perforation. Methods 82 cases of patients with gastric ulcer complicated with gastric perforation were divided into two groups according to the surgical methods. 41 cases of control group received open repair, and 41 cases of observation group received laparoscopic repair. The surgery related indicators and complications were compared between two groups. Results The intraoperative blood loss of observation group was significantly lower than that of control group, and the postoperative bowel sound recovery time, first exhaust time and hospitalization time were significantly shorter than those of control group(P <0.05). The incidence of postoperative complications of observation group was significantly lower than that of control group(P <0.05). Conclusions Laparoscopic gastric perforation repair has less trauma and few postoperative complications, which can quickly restore patients' gastrointestinal function and shorten the hospitalization time.
Objective To explore the clinical effect of laparoscopic repair in the treatment of gastric perforation. Methods 82 cases of patients with gastric ulcer complicated with gastric perforation were divided into two groups according to the surgical methods. 41 cases of control group received open repair, and 41 cases of observation group received laparoscopic repair. The surgery related indicators and complications were compared between two groups. Results The intraoperative blood loss of observation group was significantly lower than that of control group, and the postoperative bowel sound recovery time, first exhaust time and hospitalization time were significantly shorter than those of control group(P <0.05). The incidence of postoperative complications of observation group was significantly lower than that of control group(P <0.05). Conclusions Laparoscopic gastric perforation repair has less trauma and few postoperative complications, which can quickly restore patients' gastrointestinal function and shorten the hospitalization time.
引文
[1]赵永奎.腹腔镜胃穿孔修补术治疗胃溃疡并发胃穿孔的临床效果分析[J].中国实用医药,2018,13(18):50-51.
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[8]Zhang LP,Chang R,Matthews BD,et al.Incidence,mechanisms,and outcomes of esophageal and gastric perforation during laparoscopic foregut surgery:a retrospective review of 1,223 foregut cases[J].Surg Endosc,2014,28(1):85-90.
[9]江义舟,彭程.腹腔镜与开腹手术下行胃穿孔修补术的综合疗效对比研究[J].中国现代医生,2017,55(7):43-45.
[2]伍华勇,袁昭华,吴庆,等.腹腔镜胃穿孔修补术患者围术期胃电节律及炎性状态的变化观察[J].海南医学院学报,2013,19(6):804-807.
[3]赵煜.腹腔镜胃穿孔修补术患者围术期胃肠激素及应激指标的变化研究[J].中外医疗,2013,32(35):1-2.
[4]陈宇开.腹腔镜胃穿孔修补术对患者胃电参数及血清消化功能相关指标的影响[J].海南医学院学报,2014,20(9):1225-1227.
[5]姜正科,俞晓军,朱顺福,等.腹腔镜胃穿孔修补术患者围术期血清白介素,应激激素及氧化应激的变化研究[J].中国内镜杂志,2014,20(5):522-525.
[6]任虎,陈文山,魏天天.腹腔镜修补术与传统开腹术治疗急性胃穿孔临床效果对比[J].数理医药学杂志,2016,29(11):1633-1634.
[7]靳和平.腹腔镜胃穿孔修补术治疗胃穿孔对炎性因子的影响[J].腹腔镜外科杂志,2017,22(10):734-737.
[8]Zhang LP,Chang R,Matthews BD,et al.Incidence,mechanisms,and outcomes of esophageal and gastric perforation during laparoscopic foregut surgery:a retrospective review of 1,223 foregut cases[J].Surg Endosc,2014,28(1):85-90.
[9]江义舟,彭程.腹腔镜与开腹手术下行胃穿孔修补术的综合疗效对比研究[J].中国现代医生,2017,55(7):43-45.